NISHA MALHOTRA (Credential# 1126607) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2014. The license expiration date date is July 31, 2015. The license status is INACTIVE.
NISHA MALHOTRA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051474. The credential type is physician/surgeon. The effective date is August 1, 2014. The expiration date is July 31, 2015. The business address is 365 Montauk Ave, New London, CT 06320-4700. The current status is inactive.
Licensee Name | NISHA MALHOTRA |
Credential ID | 1126607 |
Credential Number | 1.051474 |
Credential Type | Physician/Surgeon |
Business Address |
365 Montauk Ave New London CT 06320-4700 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2012-11-13 |
Effective Date | 2014-08-01 |
Expiration Date | 2015-07-31 |
Refresh Date | 2015-11-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1128020 | CSP.0053888 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-10-19 | 2013-03-01 - 2015-02-28 | INACTIVE |
Street Address | 365 MONTAUK AVE |
City | NEW LONDON |
State | CT |
Zip Code | 06320-4700 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Timothy Y Tran | 365 Montauk Ave, New London, CT 06320-4700 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
David F Reisfeld | 365 Montauk Ave, New London, CT 06320 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Nicholas Wyatt Miller | 365 Montauk Ave, New London, CT 06320-4700 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Courtney Elizabeth Peck | 365 Montauk Ave, New London, CT 06320-4700 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Prakash Kandel | 365 Montauk Ave, New London, CT 06320-4700 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Susan Collemer | 365 Montauk Ave, New London, CT 06320 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Raymond Mark Villalobos | 365 Montauk Ave, New London, CT 06320-4700 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Seth P Dubin, Pa | 365 Montauk Ave, New London, CT 06320-4700 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Lawrence + Memorial Hospital | 365 Montauk Ave, New London, CT 06320-4700 | General Hospital | 2019-04-01 ~ 2021-03-31 |
Neil Panchal | 365 Montauk Ave, New London, CT 06320-4700 | Controlled Substance Registration for Practitioner | 2020-03-09 ~ 2021-02-28 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Paul R Bourguignon | Nemg, New London, CT 06320 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Stephan Nousiopoulos | 27 Alger Place, New London, CT 06320 | Architect | 2020-08-01 ~ 2021-07-31 |
Diana Elisabeth Cabrera-mora | 327 Montauk Avenue, New London, CT 06320 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-03-31 |
Yuhua Han | 18 Anthony Rd Apt H, New London, CT 06320 | Massage Therapist | ~ |
Empire Pizza · Empire Pizza LLC | 150 Broad St, New London, CT 06320 | Bakery | 2020-07-01 ~ 2021-06-30 |
Irene C Besser | 19 Hawthorne Dr, New London, CT 06320 | Licensed Nurse Midwife | 2020-09-01 ~ 2021-08-31 |
Robert F Gardner | 241 Crystal Ave, New London, CT 06320 | Home Improvement Salesperson | 2020-06-26 ~ 2020-11-30 |
Angie Alejandra Botero Castro | 14 Concord Court, Groton, CT 06320 | Master's Level Social Worker | ~ |
Kevin J O'reilly | 20 Parkway South, New London, CT 06320 | Psychologist | 2020-09-01 ~ 2021-08-31 |
Sonny's Market LLC | 324 Jefferson Ave, New London, CT 06320 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06320 |
City | NEW LONDON |
Zip Code | 06320 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NEW LONDON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Keya Malhotra | 174 Oak Ridge Dr, York, PA 17402-4617 | Physician/surgeon | ~ |
Nisha T Manickam Do | 65 Laurel Rd, New Haven, CT 06515-2423 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
Saurabh Malhotra | 9 Canfield Ave, Norwalk, CT 06855 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Sujata Malhotra | 201 E 19th St, New York, NY 10003 | Physician/surgeon | 2012-07-01 ~ 2013-06-30 |
Anuj Malhotra | 429 East 75th St, 5th Floor, New York, NY 10021 | Physician/surgeon | ~ |
Divyanshu Malhotra | 330 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Samit Malhotra | 55 Holly Hill Ln Ste 210, Greenwich, CT 06830-6074 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Chanchal Malhotra | 75 Dyer Court, Norwood, NJ 07648 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
Ishan Malhotra | 515 West Avenue Apt 217, Norwalk, CT 06850 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Radhika Malhotra | 494 Dogwood Road, Orange, CT 06477 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
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Data Provider | Connecticut Department of Consumer Protection |
Jurisdiction | Connecticut |
Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).